Preoperative Ultrasound Guided Fine Needle Aspiration Cytology of Ovarian Lesions- Is It a Rapid and Effective Diagnostic Modality?
Introduction: The deep seated ovarian lesions unapproachable by unguided aspiration cytology were easily done under ultrasound guidance. It gave a before hand cytological diagnosis of the lesion to the surgeon determining the modality of treatment for the patient. Aim: To find the diagnostic ac...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2016-03-01
|
| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/7447/15729_CE(RA1)_F(T)_PF1(Vsu_Om)_PFA(AK)_PF2(PAG).pdf |
| Summary: | Introduction: The deep seated ovarian lesions unapproachable
by unguided aspiration cytology were easily done under
ultrasound guidance. It gave a before hand cytological
diagnosis of the lesion to the surgeon determining the modality
of treatment for the patient.
Aim: To find the diagnostic accuracy of the method of ultrasound
guided cytological assessment of ovarian lesion.
Materials and Methods: The study was conducted as a prospective observational study over a period of one year, in hospital setting,
where ultrasound guided fine needle aspiration had been used to
aspirate ovarian lesions, giving a rapid cytological diagnosis.
In 43 sample cases, aspiration of fluid done from ovarian
lesions were followed by cyto-centrifugation and staining by
May-Grunwald-Giemsa (MGG) and Papanicolaou (Pap) stain
providing a cytological opinion regarding benign/malignant
nature of the lesion and further categorization. Later the
cytological diagnosis was compared with final histopathological
diagnosis, taking it as a gold standard.
Results: The overall sensitivity, specificity, and diagnostic
accuracy of ultrasound guided aspiration and cytological
analysis were high, 96%, 76.92% and 89.47% respectively
as calculated by comparing the cytological diagnosis with
histological diagnosis, taking it as gold standard.
Conclusion: This method has evolved as a highly sensitive,
rapid, simple and effective modality for screening and as well
as accurate preoperative diagnosis of ovarian lesions. |
|---|---|
| ISSN: | 2249-782X 0973-709X |